Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Decision-making in COVID-19 and frailty

Moug, Susan, Carter, Ben, Myint, Phyo Kyaw, Hewitt, Jonathan ORCID: https://orcid.org/0000-0002-7924-1792, McCarthy, Kathryn and Pearce, Lyndsay 2020. Decision-making in COVID-19 and frailty. Geriatrics 5 (2) , 30. 10.3390/geriatrics5020030

[thumbnail of Decision-Making in COVID-19 and Frailty.pdf]
Preview
PDF - Published Version
Available under License Creative Commons Attribution.

Download (152kB) | Preview

Abstract

We write in response to the COVID-19 pandemic and the important recognition of co-existing frailty [COVID-19 rapid guideline: critical care in adults; NICE NG159] [1]. There is no doubt that difficult decisions have been made and are continuing to be made across the UK. These decisions will become increasingly difficult with the continued narrowing of the clinical criteria for the escalation of treatment, as has been seen in other countries globally. Frailty has been placed at the forefront, with professional associations responding to the NICE NG159 by proposing a frailty score as part of the clinical assessment [2]. There is no doubt that increasing frailty (irrespective of the scale or score applied) is associated with poorer outcomes in both medical and surgical patients, with increased ITU admissions, prolonged length of stay, increased care needs on discharge and mortality all reported [3,4]. However, these studies were not performed during a viral pandemic and while we, like all clinicians, await published evidence on COVID-19, we would like to highlight some points to consider when making clinical decisions based on frailty

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: MDPI AG
ISSN: 2308-3417
Date of First Compliant Deposit: 9 June 2020
Date of Acceptance: 29 April 2020
Last Modified: 05 May 2023 11:25
URI: https://orca.cardiff.ac.uk/id/eprint/132289

Citation Data

Cited 23 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics